Structural characteristics of alcohol venues are associated with testing positive for HIV in rural Kwazulu-Natal, South Africa.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES
Sarah Norton, Anthony P Moll, Neo Morojele, Gerald Friedland, Sheela V Shenoi
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Abstract

The HIV epidemic in South Africa is one of the largest globally, with a 20% prevalence among adults. The South African National Strategic Plan recognizes the need to address social and structural barriers to HIV prevention, as well as behavioral drivers, including alcohol abuse. Nested within a rural community-based HIV testing initiative, including at alcohol venues (AVs), we explored whether structural features of AVs were associated with HIV seropositivity. Of the 488 individuals tested at 46 AVs, 43 (8.8%) were seropositive. The majority of AVs were rural, unregistered, informal, lacked a liquor license, well-maintained, single rooms with lighting, make-shift seating, and adjacent outdoor space. Sound systems, bathrooms and preventative health signage were less common. In this cross-sectional analysis, community members were more likely to be identified as living with HIV at shebeens that were in town (p = 0.006), well-maintained (p = 0.008), had bathrooms (p = 0.004), and were monitored by security (p = 0.047). Multivariable regression analysis identified indoor bathrooms as an independent correlate of living with HIV (Adjusted Odds Ratio: 0.52, CI 95% 0.30-0.90). While many structural characteristics were static, several were potentially modifiable. Understanding how AV characteristics are associated with testing positive for HIV may inform community-based interventions that can address HIV risk.

在南非夸祖鲁-纳塔尔省农村,酒精场所的结构特征与艾滋病毒检测呈阳性有关。
南非是全球艾滋病毒流行最严重的国家之一,成年人的流行率为20%。《南非国家战略计划》认识到,需要解决阻碍艾滋病毒预防的社会和结构性障碍,以及包括酗酒在内的行为驱动因素。在农村社区艾滋病毒检测倡议中,包括在酒精场所(AVs),我们探讨了av的结构特征是否与艾滋病毒血清阳性相关。在46个av检测的488例个体中,43例(8.8%)血清阳性。大多数av都是农村的、未注册的、非正式的、没有酒类许可证的、维护良好的、有照明的单间、临时座位和相邻的户外空间。音响系统、浴室和预防性健康标识则不太常见。在这个横断面分析中,社区成员更有可能在镇上(p = 0.006),维护良好(p = 0.008),有浴室(p = 0.004),并受到安全监控(p = 0.047)的酒吧中被识别为艾滋病毒携带者。多变量回归分析确定室内浴室与HIV感染有独立相关性(校正优势比:0.52,可信区间95% 0.30-0.90)。虽然许多结构特征是静态的,但也有一些是可以修改的。了解AV特征与艾滋病毒检测呈阳性之间的关系,可以为社区干预措施提供信息,以应对艾滋病毒风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.50
自引率
0.00%
发文量
172
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